Active NPI
Shawn Singh Koura, M.D.
- Infectious Disease Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A125775
- Practice address
- 751 Medical Center CT
Chula Vista, CA 91911-6617 - Phone
- (877) 256-2043
- Fax
- (800) 852-5826
- NPI assigned
- Apr 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Infectious Disease Physician | 207RI0200X | A125775 | CA | Primary |
Addresses
Primary practice location
751 Medical Center CT
Chula Vista, CA 91911-6617
Mailing address
3456 Camino del Rio N
Ste 207
San Diego, CA 92108-1715
Phone (877) 256-2043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Eastern Virginia Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
435 H St
Chula Vista, CA 91910-4307
Phone (619) 359-6600
751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (757) 218-0504
Hospital & facility affiliations
- Sharp Chula Vista Medical Center
- Scripps Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125775 | CA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Koura MD Inc | Infectious Disease | Current | Accepting new patients |
| On Call Specialists Medical Group of San Diego, Inc. | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
3456 Camino del Rio N
Ste 207
San Diego, CA 92108
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040
Interoperability endpoints
- skoura28478@scrippshlth.medalliesdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Infectious Disease Physician
- Chula Vista, CA
- NPI 1477900751
-
- Specialist
- San Diego, CA
- NPI 1962175836
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1407173149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3456 CAMINO DEL RIO N",
"address_2": "STE 207",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081715",
"telephone_number": "877-256-2043",
"fax_number": "800-852-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 MEDICAL CENTER CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116617",
"telephone_number": "877-256-2043",
"fax_number": "800-852-5826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOURA",
"first_name": "SHAWN",
"middle_name": "SINGH",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-20",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A125775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.